Isabel Azucena Jimenez, MA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

2100 Standiford Ave Ste 12-180
Modesto, CA 95350-6522

Phone

(855) 832-6727

Fax

(772) 675-9100

NPI assigned

Jul 14, 2016

Last updated

Oct 5, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Innovating Behaviors LLC

  • Behavior Analyst
  • Modesto, CA
  • NPI 1225707938
  NPD Authorized official
• Innovating Behaviors Inc

  • Behavior Analyst
  • Modesto, CA
  • NPI 1902779713
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1468454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1437502465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 COFFEE RD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953553102",
            "telephone_number": "209-585-3321",
            "fax_number": "209-297-4607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 STANDIFORD AVE STE 12-180",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953506522",
            "telephone_number": "855-832-6727",
            "fax_number": "772-675-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "ISABEL",
        "middle_name": "AZUCENA",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-14",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juliana Jimenez-Rodriguez
• Cesar Jimenez
• David Jimenez
• Diana Mia Jimenez
• Giovanny Jimenez
• Janet Jimenez
• Jessica Marie Jimenez
• Keara Jimenez
• Lizbeth Jimenez
• Octavio F Jimenez

• Behavior Analyst in Modesto, CA
• Providers in Modesto, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.